Senior Medicare Biller

Empress Ambulance Service LLC

Yonkers, NY

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JOB DETAILS

SALARY

$63,700 Per Year

JOB TYPE

Part-time

SKILLS

Ambulance Services, Analysis Skills, Apple Macs, Billing, Claims Processing, Communication Skills, Content Management Systems (CMS), Corporate Policies, Detail Oriented, Documentation, Documentation Review, Documentation Standards, Establish Priorities, HIPAA (Health Insurance Portability and Accountability Act), Maintain Compliance, Medicaid, Medical Billing, Medicare, Mentoring, Presentation/Verbal Skills, Process Management, Quality Assurance, Regulations, Regulatory Compliance, Reimbursement, Staff Training, Time Management, Training/Teaching, Worker's Compensation, Writing Skills

LOCATION

Yonkers, NY

POSTED

4 days ago

Position Summary

The Senior Medicare Biller oversees and manages Medicare billing processes for ambulance transports in compliance with federal, state, and payer-specific regulations. This role requires advanced knowledge of Medicare ambulance billing, New York State Medicaid coordination, documentation requirements, and appeals processes. The Senior Medicare Biller serves as a subject-matter expert, ensuring timely, accurate reimbursement while maintaining compliance with all regulatory standards.

Key Responsibilities

Process, review, and submit Medicare claims for emergency and non-emergency ambulance services per CMS and New York State regulations
Ensure accurate coding, modifiers, mileage, and level-of-service billing (BLS, ALS1, ALS2, SCT)
Review documentation for medical necessity, physician certification statements (PCS), trip reports, and supporting records
Identify, research, and resolve Medicare denials, underpayments, and rejections
Prepare and submit redeterminations, reconsiderations, and higher-level appeals as needed
Coordinate Medicare crossover claims to New York State Medicaid and other secondary insurers
Maintain compliance with CMS guidelines, OIG standards, HIPAA, and company policies
Monitor aging reports and follow up on unpaid or delayed claims to ensure timely resolution
Act as a resource and mentor to billing staff, providing training and guidance on Medicare issues
Assist with audits, compliance reviews, and internal quality-assurance initiatives
Communicate effectively with Medicare Administrative Contractors (MACs), Medicaid, and internal departments
Stay current on Medicare policy updates, fee schedule changes, and regulatory requirements

Qualifications

3–5 years of Medicare ambulance billing experience required
In-depth knowledge of CMS ambulance billing regulations and New York State billing practices
Strong understanding of medical necessity requirements and documentation standards
Experience with Medicare appeals and denial resolution
Proficiency with ambulance billing software and electronic claim submission systems
High attention to detail and strong analytical skills
Ability to prioritize and meet deadlines in a fast-paced environment
Excellent written and verbal communication skills
Ability to maintain confidentiality and HIPAA compliance

Preferred Qualifications

Experience with New York State Medicaid, No-Fault, and Workers' Compensation coordination
Prior supervisory or lead billing experience
Familiarity with compliance audits and payer reviews
CAC, CPC, CPB, or other relevant billing/coding certification

Work Environment

Office-based or hybrid role depending on company needs
Fast-paced EMS billing environment with high-volume claim processing

Senior Medicare Biller

Empress Ambulance Service LLC

Yonkers, NY

Position Summary

Key Responsibilities

Process, review, and submit Medicare claims for emergency and non-emergency ambulance services per CMS and New York State regulations

Ensure accurate coding, modifiers, mileage, and level-of-service billing (BLS, ALS1, ALS2, SCT)

Review documentation for medical necessity, physician certification statements (PCS), trip reports, and supporting records

Identify, research, and resolve Medicare denials, underpayments, and rejections

Prepare and submit redeterminations, reconsiderations, and higher-level appeals as needed

Coordinate Medicare crossover claims to New York State Medicaid and other secondary insurers

Maintain compliance with CMS guidelines, OIG standards, HIPAA, and company policies

Monitor aging reports and follow up on unpaid or delayed claims to ensure timely resolution

Act as a resource and mentor to billing staff, providing training and guidance on Medicare issues

Assist with audits, compliance reviews, and internal quality-assurance initiatives

Communicate effectively with Medicare Administrative Contractors (MACs), Medicaid, and internal departments

Stay current on Medicare policy updates, fee schedule changes, and regulatory requirements

Qualifications

3–5 years of Medicare ambulance billing experience required

In-depth knowledge of CMS ambulance billing regulations and New York State billing practices

Strong understanding of medical necessity requirements and documentation standards

Experience with Medicare appeals and denial resolution

Proficiency with ambulance billing software and electronic claim submission systems

High attention to detail and strong analytical skills

Ability to prioritize and meet deadlines in a fast-paced environment

Excellent written and verbal communication skills

Ability to maintain confidentiality and HIPAA compliance

Preferred Qualifications

Experience with New York State Medicaid, No-Fault, and Workers' Compensation coordination

Prior supervisory or lead billing experience

Familiarity with compliance audits and payer reviews

CAC, CPC, CPB, or other relevant billing/coding certification

Work Environment

Office-based or hybrid role depending on company needs

Fast-paced EMS billing environment with high-volume claim processing

About the Company

Empress Ambulance Service LLC